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History
- Vetoed memo.271
- Delivered to governor
- Returned to senate
- Passed assembly
- Ordered to third reading rules cal.725
- Substituted for A8171
- Referred to ways and means
- Delivered to assembly
- Passed senateVote 63–0
- Ordered to third reading cal.1739
- Referred to rules
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Relates to rebasing of the episodic reimbursement methodology for certified home health agencies
Assembly Floor Calendar · Sponsor Richard Gottfried
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S5878
Title of bill
An act to amend the public health law, in relation to rebasing of the episodic reimbursement methodology for certified home health agencies
Purpose or general idea of bill
To ensure that the state's planned rebasing of the episodic pricing system (EPS) does not result in reimbursement cuts for home health patient services that would exceed cut levels projected in the 2015-16 state fiscal plan.
Summary of specific provisions
Section one amends the public health law provisions for state rebasing of EPS to ensure that any aggregate cut in reimbursement for home health services for Medicaid patients that stem from rebasing does not exceed amounts projected in the 2015-16 state fiscal plan (or $30 million).
Section 2 establishes an April 1, 2015 effective date for the bill, consistent with the state budget and the planned start date of the rebased EPS.
Justification
The 2011 state budget established an episodic pricing system for reimbursement of home health care for Medicaid patients, with this new system taking effect May 2012. As part of EPS, the statute required DOH to update the base year used to set the EPS prices at least every 3 years, thus triggering the first rebasing for 2015.
DOH's calculations for the fiscal impact of this 2015 EPS rebasing were incorporated into the 2015-16 state budget. Those calculations reflected a cut in EPS Medicaid reimbursement for home health of $30 million. However, no actual language was included in the state budget to set forth or limit the actual amount of the home health cut to comport to the fiscal plan.
As DOH now prepares for implementation of the rebased EPS during the course of this fiscal year, this bill will ensure that any reductions from this rebasing (which will cut home health retroactive to April 1) not exceed levels exacted under the state fiscal plan. This is especially critical in light of the state's major new health care models and policies also being implemented which directly depend upon home care services, and which require home care investment.
Prior legislative history
New bill.
Fiscal implications
None; comports with fiscal plan adopted with the 2015-16 state budget
Effective date
The bill would become effective April 1, 2015 consistent with the effective date of the state budget and the EPS rebasing.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.